Coming off GLP-1s - tips?

Hong Kong Yanpep International
Ah, I see... There's always some backstory that doesn't show up right away.

Was on one medication before, and the doctor consistently pushed back on raising the amount while the smaller one kept doing the job. Now starting a different one to tackle remaining stubborn fat, and handling this independently through a provider.

Sometimes it feels like these providers genuinely prioritize their clients more than some general practitioners prioritize their patients. Came away feeling thoroughly briefed on possible reactions and every other detail. And there's zero rigidity around moving the amount up. That decision rests with the person taking it, worked out together with a doctor.

Wishing everyone the very best!
 
Been running this medication three to four years now. Started at 1mg specifically for A1C management. Everything was going great. Dropped from 215 down to around 171-172. Couldn't push lower, but A1C stayed solid, hovering around 6.1-6.2. Took a trip to the coast to see relatives and ended up genuinely unwell. My parents are in their nineties, and every dish comes out cooked to complete mush. Attempted handling the cooking and grocery runs myself, but that household has its own particular rhythm you'd need to witness firsthand. Dropped to 162 during that stretch. Once home, started a fairly potent probiotic regimen, and most of the digestive trouble resolved. Weight started creeping back up though, so I dropped the probiotics. From that point it just seemed like the medication stopped working entirely. Weight's climbed to 180 and A1C's back up to 6.6. Doctor bumped my dose to 2mg. Only three weeks in, haven't noticed real change yet. Follow-up scheduled in three months though. So yes, it genuinely can stop working over time. Meanwhile working on tightening up my food choices since things had really gotten off track.
 
The usual guidance is to sit at the smallest dose that works, so if youre losing steadily (and not too fast!) theres no need to go up. For instance, i began at 0.25, and after four weeks moved to 0.5. Seven weeks later im down about 12 pounds, which is plenty fast for me, so im not going to 1.0 unless i stall. Ask your provider anything that worries you. It is a scary journey at times, and you have every right to full support.
 
Ozempic may have longevity benefits. Quitting is a bad plan whenever it keeps your blood glucose in check. Worried about muscle? Add protein and do some lifting.
 
Ozempic breaks aren't advised, and likely hurt diabetics more than people using it strictly for weight. You can't count on your body hitting reset. Imagine a ladder: you climb from step 1 to 10, quit, and expect to slide back to step 1. Your body is different now, so step 1 no longer exists, you'd only begin a fresh first step in another health state. That's the reason maintenance doses are a thing.
 
no gallbladder here either and i havent had a single side effect on ozempic. started at the quarter dose for the four week ramp, stayed around half a milligram for roughly a year. my a1c crept back up so they bumped me to 1mg for four months, then moved to 2mg weeks back. prescribed for diabetes so the increases track my insulin resistance. what surprised me was even right after that first quarter dose, inflammation eased up, clothes felt roomier before real weight dropped. body irritation went away too, overall i feel much better, sleep improved a lot too. wish i could take the fear away, the only way to know is jumping in. i've dealt with plenty of gi trouble myself so i get the hesitation. ask your doctor about digestive enzymes, that helped me after my gallbladder came out.
 
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